The purpose of this research was to better understand the outcomes of integration by asking what promotes the experience of continuity of care from the point of view of people with long-term neurological conditions.

Theory

We used the definitions of continuity of care developed by Freeman et al. [1, 2] as a conceptual framework with which to consider people’s experiences of using services within more and less integrated systems.

Methods

In-depth case studies were undertaken in six service systems across England with varying levels of social and health care integration. The findings presented here come primarily from in-depth interviews with people with LTNCs who used services in these systems. Data were thematically analysed and triangulated with other case study information.

Results and conclusion

The following service models promote continuity of care for people with LTNCs: community interdisciplinary neuro-rehabilitation teams, day opportunity services, nurse specialists and other forms of care co-ordination.

Discussion

Not everyone who might benefit from these service models is currently able to do so. How can we ensure equity of coverage and access?

References1FreemanGSheppardSRobinsonIEhrichKRichardsSContinuity of care: report of a scoping exercise2001LondonNational Co-ordinating Centre for Service Delivery and Organisation R&D Programme, London School of Hygiene and Tropical Medicine2FreemanGCrawfordMWeaverTLowJJongeE dePromoting continuity of care for people with severe mental illness whose needs span primary, secondary and social care. A multi-method investigation of relevant mechanisms and contexts2003LondonNational Co-ordinating Centre for Service Delivery and Organisation R&D Programme, London School of Hygiene and Tropical Medicine